Care Manager, Behavioral Health

** Become a part of our caring community*
* As a Telephonic Case Manager you will assess, plan, coordinate, implement, monitor, and evaluate the care needs of TRICARE beneficiaries over the phone, to maximize each beneficiary's capacity for self-care to enhance their quality of life and achieve desired clinical outcomes.

+ As a remote care manager you will report to a Manager of Care Management.

+ You will serve as the primary point of contact and coordinator for the beneficiary for all activities within the clinical spectrum.

+ You will coordinate and collaborate with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and Utilization Management), physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions.

** Use your skills to make an impact*
* ** Required Qualifications*
* + Our Department of Defense Contract requires U.S. citizenship for this position.

+ Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)

+ HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.

+ In your state of residency, you must have a current, valid, and unrestricted license as a Mental Health (MH)/Behavioral Health (BH) Professional in at least ONE of the following:  
** Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Licensed Masters Social Worker (LMSW) AND/OR Clinical Psychologist (Ph.D.)** .

+ 3 years of clinical experience, which may include managed care experience.

+ Ability to obtain a Certified Care Manager (CCM) within the first year of hire.

+ Experience in managing mental health crisis intervention.

** Preferred Qualifications*
* + An active designation as a Certified Care Manager (CCM).

+ Experience in Acute inpatient hospital case management.

+

Experience with Medical/Behavioral Health Case Management Programs.

+

Experience with TRICARE policies and/or the military health care delivery system.

** Additional Information*
* ** Work Style** :
Remote  
** Work Schedule** :
Monday - Friday; must be able to work an 8-hour shift between the hours of 8:00 a.m.

- 6 p.m. EST (Eastern Standard Time)

** Training/Training Hours** :
Mandatory for the first 4 weeks between the hours 8:00 a.m.

- 5:00 p.m. EST (Eastern Standard Time)

Work at Home Requirements:
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

** Scheduled Weekly Hours*
* 40

** Pay Range*
* The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

** Description of Benefits*
* Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana…